NPI | 1780960724 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA LIGGETT Office Manager 678-210-1166 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 033610 GA) |
Enumeration Date | 2011-10-21 |
Last Update Date | 2011-10-21 |